Kristen Michelle Smiley-Flowers, MSN, RN, FNP-BC

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Inova Health Care Services

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1827 clinicians in the practice; 12 are shown here.

• Waseem Ismail Aziz, MD Gastroenterology Physician · Fairfax, VA
• Miss. Angelique Manuel Duran, FNP-BC Family Nurse Practitioner · Falls Church, VA
• Theresa Howard, ACNPC-AG Acute Care Nurse Practitioner · Washington, DC
• Dr. Joanna Marie Joly, MD Cardiovascular Disease Physician · Birmingham, AL
• Chin Hee Kim, MD Internal Medicine Physician · Falls Church, VA
• Dr. Alexander N. Kinnaird, MD Internal Medicine Physician · Rockville, MD
• Richard Francis Neville, MD Vascular Surgery Physician · Falls Church, VA
• Stuti Patel Orthopaedic Surgery Physician · Sterling, VA
• Mrs. Megan Franklin Pirowski, RN, NP Nurse Practitioner · Leesburg, VA
• Dr. Megan Elizabeth Terek, MD Critical Care Medicine (Internal Medicine) Physician · Falls Church, VA
• Carrie I Thomas, PA-C Surgical Physician Assistant · Falls Church, VA
• Meer Rabeel Zafar, MBBS Hospitalist Physician · Chantilly, VA

Other providers in Fairfax

• Dr. Neeta Ahuja, MD

  Individual Oncology Registered Nurse · NPI 1518033745

  12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 · (703) 934-5905

• Sydney Grant, RN

  Individual Oncology Registered Nurse · NPI 1629928775

  8613 US-29, Fairfax, VA 22031 · (571) 350-8400

• My-Duyen Quynh Nguyen, RN, BSN

  Individual Oncology Registered Nurse · NPI 1366351983

  8081 Innovation Park Dr, Fairfax, VA 22031-4867 · (571) 472-0606